Bill To:

PROGRESSIVE INSURANCE
6300 WILSON MILLS ROAD
MAYFIELD VILLAGE, OH 44143-2109

Services Rendered To:

Addison Lashaun
6414 CR 42
Rosharon, TX 77583
POLICY# 958340140


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    2
    $700.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    2
    $600.00

  3. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    2
    $200.00

  4. 408 Air Medical Landing Zone (Used)

    $250.00
    1
    $250.00

  5. 310 Hydraulic Tool (# Used)

    $200.00
    1
    $200.00

  6. 418 Environmental Hazard Cleanup/Removal

    $250.00
    1
    $250.00

    7. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: FM 521- Rosharon, TX

    Ordinance Info: Rosharon Cost Recovery Resolution

Subtotal $2,200.00
Total Due $2,200.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
June 23, 2023 @ 12:14 pm

Invoice updated by Geoffrey.

Status Update
June 23, 2023 @ 12:14 pm

Status changed: Draft to Pending.